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Hello guys

First of all, sorry for my english as is not my native lenguage.

I'm a 29 years old man and I suffer from Rosacea but I also have cystic acne.

I'm taking Accutane for the acne. I took 10mg during the first month, then 20mg for 12 days and then 30mg for 12 days and I started to have some bad flushing with deep burning in my face and ears.This flushing episodes used to happen in the night, lying in my bed doing nothing and with exertion the burning was very bad! So I decided to stop and giving it some time. By about the second day, the flushing went almost completely away and after one week I decided to start again, so I took 20mg, and then I started to have flushing again! With only one pill  and after being off Accutane during a whole week. Now I don't know what to do. I'm from Chile and doctors here are not very good, so I don't trust them...

I was reading the big thread about flushing. But it seems that most people got flushing post Accutane and not while on Accutane, or I am wrong? So what happens with those who experience flushing in the early stage of the treatment?

Basically, I would like to know if is this a normal / common reaction while on Accutane? or when this happens, it mean that is time to stop to avoid damage?

I know that Accutane is used for rosacea in very low doses. The problem is that I'm using it for acne and besides that, I have rosacea.

I would appreciate some advices and I would like to hear some experiences from those who had flushing while on Accutane, in the early stages of the treatment.

There's people with a lot of knowledge here, probably more than my doctors, so it would be very helpful to read your comments.

Thanks.

Hello guys.

First of all, sorry for my english, it's not my native lenguage.

I'm 29 years old male. This is my second course of Accutane. The first was in 2001 and it completely cleared me up until 2010. In 2010 I started with rosacea P&P and cystic acne on my nose, back of the neck and in my back. I've been controlling this with antibiotics but I can't live with antibiotics so I decided to go for a second course of Accutane and now the story is completely different. My first course of Accutane was great, I had no problems.

I've been taking 10mg the first month, then 20mg for 12 days and 30mg for 14 days. 30mg is my current dose. The problem that scares me is that at 30mg I started to flush. Those random flushing episodes, hot feeling on my face, neck and ears with burning sensation. When this is more agressive is when I make a physical effort, I can feel a deep burning. My rosacea is also getting worse so I'm using Metrogel twice a day, but as the time passes, I feel I get used to the dose and my rosacea tends to even out. I'm taking Accutane only for my cyst's, I don't want to end up full of scars on my face, that's the issue. I already have some scars from my last acne breakouts.

The big problem is having both condition (Rosacea P&P and cystic acne). But what worries me is the flushing.

I know that is normal to be red while on Accutane, as I was in my first course i guess. But I don't remember flushing in my first course. Maybe I flushed and I can't remember. Now I give much more importance to everything that happens to my skin. I also have seb derm. Yeah, I'm really a lucky one

This time I feel stuck. I don't know what to do. I know that low doses are recomended for rosacea but I need to beat this cystic acne, I'm not taking it for rosacea and low dose don't do anything for cyst's. At 30mg I stiil have some cyst's that have been here since my initial breakout and still doesn't heal (And those cyst's were triggered by the initial breakout starting only with 10mg).

Well, I would like to know if Is it common for most people to experience flushing while on Accutane?.... Or if you have flushing while on Accutane it means that you are already screw? I mean, is it something that should make you consider to discontinue the treatment?

I've been reading a lot but I'm not clear. I know some have long term flushing post Accutane, but I don't know how many people experience flushing while on Accutane.

Oh, and I was forgeting it. I'm also losing my hair. It is insane, traumatic and scary how my hairline has recided. I don't know why I didn't lose hair during my first course of Accutane and now I'm having all this side effects... I'm getting older I guees and now everything hits me harder than before.. Is extremely sad to lose my hair and I'm getting very depressed because of this, but I'm not willing to have more scars from those stupid cyst's.

I would apreacite your help and advices guys....